Organization
PIPING PLOVER THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POLYXENIA PANTOS OTD, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(860) 410-6691
Entity
Organization
Contact information
Practice address
32 HALL ST, SOUTH PORTLAND, ME 04106-3315
(860) 410-6691
Mailing address
32 HALL ST, SOUTH PORTLAND, ME 04106-3315
(860) 410-6691
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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